go back

Wyoming rates for HCPCS 28645

Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,412.54 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,047.13 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,754.23 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $2,089.30